“To Do” List for People
New to Medicare
Make sure you get your “Welcome Kit”
from Medicare 3-4 months prior to
turning 65 or if under 65, when
you are approved for Medicare
Make sure you have Medicare “Part B”
(Medical Care) on your Medicare
Red, White and Blue Card
Rules For Enrolling in Medicare
When enrolling in Part B you have an initial 7 month window, 3 months before you
are eligible for Part B, the month of, and 3 months after. If you do not enroll in Part B
when you are eligible and want to enroll later you will be penalized 10% each year
you could have been on B but did not enroll.
3 year wait=3x10% or 30% each month forever…
Currently Part B premium is $104.90 so that would be $104.90 plus 30% each month
of that year!!!
Medicare Parts A
Work 10 years
Or 40 quarters
For $0 premium
Part A (Hospital Insurance)
6 times a year
60 day benefit
Pays .…. the Hospital
….. Some cost of Skilled Nursing
……Home Health Care
Pays Nothing for
….. Long Term Care
….. Out Patient Services
MEDICARE Part B
once a year (1 time)
Medicare pays 80%
You pay 20%
What Part B pays for:
… Medically necessary services
… Doctors, tests,
… Outpatient care and
… Preventative services
How Long Has It Been
Since You Have Had A
Why Do You Need A
Medicare Supplement or Medigap Policies
Medicare Supplement is the best there is!
You must have Part A and Part B
Enroll at the right time to get Guaranteed Issue!
Works only with Original Medicare (your Red, White and Blue Card)
The cost goes up each year!
A supplement does not have Part D Medicare Prescription Drug Plan
Must enroll in a Medicare Prescription Drug Plan to have drug coverage
$ $$$$ $
KNOW YOUR ENROLLMENT DATES
Annual Election Period
October 15 – December 7th this year!!
Anyone can enroll into a Medicare
Advantage Plan OR make changes to
another Medicare Advantage Plan.
Anyone with a Medicare Prescription
Drug Plan CAN ONLY change
during this period
Medicare Part C
Part C (Medicare Advantage Plans)
(covers the headaches caused by Parts A, B, D
A way to have your Part A and Part B deductibles
and Co-pays paid.
But you must obey the RULES
RULE – You must stay in network
and use their doctors
RULE – DO NOT use your Red, White and Blue
Rule – OBEY THEIR RULES
Medicare Part D
(Prescription Drug Plans)
Helps cover prescription drug costs
Has Co-pays and most important
Must enroll at the RIGHT time
or you will be PENALIZED
What is the “Donut Hole”????
The “Donut Hole” starts at $_____.00 and you must spend
$______.00 out of your pocket to get back into your plan!
Confusing … I know!!!
what Mary paid
Insurance Company Pays
Mary gets in the donut hole
Mary will never get into catastrophic coverage.
gets out of
gets hole! of
gets out of
DRUG CO. PAYS
of CERTAIN brand name drugs
until you reach
DVD & CD
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